READ AND COMPLETE RESIDENCY INFORMATION. APPLICANTS WHO OMIT THIS INFORMATION WILL BE CLASSIFIED AS NON-RESIDENTS FOR TUITION PURPOSES.
RESIDENCE CLASSIFICATION: All students must declare a residency status prior to the start of the term.
FLORIDA RESIDENT FOR TUITION PURPOSES AFFIDAVIT
PRIOR TO THE FIRST DAY OF THE TERM, YOU MUST HAVE SHOWN PROOF OF FLORIDA RESIDENCY TO QUALIFY FOR IN-STATE TUITION .
(IF YOU DO NOT QUALIFY AS A FLORIDA RESIDENT, SIGN THE NON-FLORIDA RESIDENT SECTION ABOVE)
A Florida “resident for tuition purpose” is a person (or a dependent
person whose parent or legal guardian) who has established and
maintained legal residence in Florida for at least the last 12
consecutive months. Residence in Florida must be a bonafide
domiciliary rather than for the purpose of maintaining a residence
incident to enrollment at an institution of higher education. Other
persons not meeting the 12 month legal residence requirement may
be classified as Florida residents for tuition purposes only if they fall
within one of the limited special categories authorized by the Florida
Legislature [Florida Statue 240.1201(2)(a)]. (Statue subject to change)
All other persons are ineligible for classification as a Florida “resident
for tuition purposes.”
To qualify as a Florida “resident for tuition purpose”, you must be a
U.S. citizen, permanent resident alien or a legal alien granted
indefinite stay by the Immigration and Naturalization Service. Living
in or attending school in Florida will not, in itself, establish legal
residence. Students who depend on out-of-state parents for support
are presumed to be legal resident of the same state as their parents
unless one parent has established legal residence in Florida for more
than 12 months. Residence in Florida must be for the purpose of
establishing a permanent home and not merely incident to
enrollment at an institution of higher education. Documents
supporting the establishment of legal residence must be dated,
issued or filed 12 months before the first day of classes of the term
for which a Florida resident classification is sought.
Definitions
DEPENDENT: A person for whom 50 percent or
more of his/her support is provided by another as
defined by the Internal Revenue Service.
INDEPENDENT: A person who provides more than
50 percent of his/her own support.
(A copy of your and/or your parents’ most recent tax
return or other documentation may be requested to
establish dependence/independence.)
ATTACH COPIES OF DOCUMENTATION INDICATED ABOVE – ADDITIONAL DOCUMENTATION (e.g., copies of voter’s registration, driver license, tax returns, deeds, etc.) may be required by the College
in some cases. ALL DOCUMENTATION IS SUBJECT TO VERIFICATION. Someone other than the applicant (e.g., parent) should complete this affidavit if the applicant is dependent or seeks to be classified as
a Florida resident by virtue of a relationship; otherwise, the applicant must complete this affidavit. PLEASE PRINT:
1. Name of Applicant ________________________________________________________________________________ 2. Student ID or SSN: _______________________________
(The CLAIMANT is the person who is claiming Florida residency, e.g., the applicant (if independent), parent, spouse or legal guardian. All of the questions below pertain to the claimant.)
3. Name of Claimant: _______________________________________________________________ 4. Relationship of Claimant to Applicant: _____________________________
5. Permanent Legal Address of Claimant: _________________________________________________________________________________________________________________
6. Date Claimant Began Establishing Legal Florida Residence and Domicile: __________________________ Telephone Number of Claimant ( ) ______________________
7. Claimant’s Voter Registration: State: _________ County: _________________________________ Number: _______________________ Original Issue Date: ____/____/____/
mm / dd / yy
8. Claimant’s Drivers License: State: ________________ Number: __________________________________________________________________ Issue Date: ____/____/____/
mm / dd / yy
9. Claimant’s Vehicle Registration: State: _________ Vehicle Information Number (VIN#): ______________________________________________Issue Date: ____/____/____/
mm / dd / yy
10. Claimant's Immigration status:
❏
Permanent Resident Alien _________________________________ Issue Date: ____/____/____/
(If Student's status is other than US Citizen) Resident Alien Card Number mm / dd / yy
❏
Asylee or Refugee Alien
❏
Other ___________________________________________
NON-FLORIDA RESIDENTS ONLY
I understand I DO NOT qualify as a Florida resident for tuition purposes for the term for which this application is submitted and that if I should qualify for a future term,
it will be necessary for me to file the required documentation prior to the beginning of the term in order to be considered for Florida residency classification.
______________________________________________________ ________________
Signature of Applicant in ink Date (mm/dd/yy)
ADDITIONAL DOCUMENTATION MAY BE REQUESTED BY THE INSTITUTION
I do hereby swear or affirm that the above-named applicant meets all requirements indicated in the category checked above for classification as a Florida “resident for tuition
purposes”. I understand that a false statement in this affidavit will subject me to penalties for making a false statement pursuant to 837.06, Florida Statutes, and that a false
statement in this affidavit may subject the above-named student to the penalties for making a false or fraudulent statement.
_____________________________________________________ _____________________________________________________________ ________________
Signature of Applicant in ink and of Person Claiming Florida Residency if other than Applicant Date
(Copy of both sides of card required)
mm/dd/yy
❏
1. I am an independent person at least 24 years of age and have maintained legal residence
in Florida for at least the last 12 consecutive months.
❏
2. I am an independent person under the age of 24 and have maintained legal residence in
Florida for at least the last 12 consecutive months. (Required: Proof of independent status)
❏
3. I am a dependent person under the age of 24 and my parent or legal guardian has
maintain legal residence in Florida for at least the last 12 consecutive months.
❏
4. I am a dependent person who has resided for five years with an adult relative other than
my parent or legal guardian, and my relative has maintained legal residence in Florida for
at least the last 12 months. (Required: Copy of most recent tax return on which you were
claimed as a dependent or other proof of dependency)
❏
5. I was previously enrolled at a Florida state institution and classified as a Florida resident for
tuition purposes. I abandoned my Florida domicile less than 12 months ago and am now
re-establishing Florida legal residence.
❏
6. I am a member of the Armed Services of the United States and I am stationed in Florida
on active military duty pursuant to military orders, or whose home of record is Florida, or I
am a member's spouse or dependent child. (Required: Copy of military orders or DD2058
showing home of record)
❏
7. I am a full-time instructional or administrative employee employed by a Florida public
school, community college or institution of higher education, or I am the employee's
spouse or dependent child. (Required: Copy of employment verification)
❏
8. I am part of the Latin American/Caribbean Scholarship Program. (Required: Copy of
scholarship papers)
❏
9. I am a qualified beneficiary under the terms of the Florida Prepaid College Program
(s. 1009.988, F.S.) (Required: copy of Florida pre-paid recipient card)
❏
10. I am living on the Isthmus of Panama and have completed 12 consecutive months of
college work at the F.S.U. Panama Canal Branch, or I am the student's spouse or
dependent child. (Required: Copy of marriage certificate or proof of dependency)
❏
11. I am a Southern Regional Education Board's Academic Common Market graduate student.
(Required: Certification letter from State Coordinator)
❏
12. I am a full-time employee of a state agency or political subdivision of the state whose
student fees are paid by the state agency or political subdivision for the purpose of job-
related law enforcement or corrections training.
❏
13. I am a McKnight Fellowship recipient. (Required: Verification from graduate studies)
❏
14. I am an active member of the Florida National Guard who qualifies under s.250.10 (7)
and (8) for the tuition assistance program.
❏
15. I am an active duty member (or the spouse/dependent child of the member) of the
Armed Services of the United States attending a public community college or university
within 50 miles of the military establishment where the member is stationed, if such
military establishment is within a county contiguous to Florida.
❏
16. I am an active duty member (or the spouse or dependent child of the member) of the
Canadian military residing or stationed in this state under the North American Air
Defense (NORAD) agreement, attending a public community college or university within
50 miles of the military establishment where the active duty member is stationed.
❏
17. I am a U.S. Citizen living outside the U.S. who is teaching at a Department of Defense
Dependent School or in an American International School and who has enrolled in a
graduate level education program which leads to a Florida teaching certificate.
❏
18. I am an active duty member (or spouse/dependent child of the member) of a foreign
nation's military who is serving as a liaison officer. I am residing or stationed in Florida
and attending a community college or state university within 50 miles of the military
establishment where I am stationed.
